Provider Demographics
NPI:1508454554
Name:ALIGNED FAMILY WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:ALIGNED FAMILY WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-617-0674
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71902-0394
Mailing Address - Country:US
Mailing Address - Phone:501-520-7772
Mailing Address - Fax:501-441-6875
Practice Address - Street 1:620 CENTRAL AVE STE 2A-4
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-5300
Practice Address - Country:US
Practice Address - Phone:501-520-7772
Practice Address - Fax:501-441-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty